The nurse notes that an assigned client expresses the wish to be taken care of and that the client
often behaves in a helpless fashion. The client can be assessed as having needs related to the stage of
psychosexual development termed the
a. latency stage.
b. phallic stage.
c. anal stage.
d. oral stage.
ANS: D
Fixation at the oral stage sometimes produces dependent infantile behaviors in adults. Option A:
Latency fixations often result in difficulty identifying with others and developing social skills,
resulting in a sense of inadequacy and inferiority. Option B: Phallic fixations result in having
difficulty with authority figures and poor sexual identity. Option C: Anal fixation sometimes results
in retentiveness, rigidity, messiness, destructiveness, and cruelty.
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The patient's Pap smear result is ASC-US. The best way for the nurse to explain this result is "ASC-US means: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "Abnormal squamous cells of undetermined significance." 2. "Cancer has invaded the upper cervix." 3. "A sexually transmitted infection is present." 4. "The Pap should be repeated in 4 months." 5. "The cervical cells are abnormal, but the reason why is unknown."
What are the three stages of syphilis and their main clinical manifestations?
What will be an ideal response?
A woman in labor has just received an epidural block. The most important nursing intervention is to:
a. Limit parenteral fluids. b. Monitor the fetus for possible tachycardia. c. Monitor the maternal blood pressure for possible hypotension. d. Monitor the maternal pulse for possible bradycardia.
The neonate in the delivery room demonstrates a heart rate of less than 100 beats per minute; a slow, irregular respiratory effort; some flexion of the extremities; a vigorous cry; and a pink trunk with bluish hands and feet
According to these observations, which one of the following does the nurse determine as the neonate's Apgar score? a. 4 b. 6 c. 8 d. 10